Most Read Articles
Elvira Manzano, 4 days ago

The US Preventive Services Task Force (USPSTF), in an update of its 2013 recommendations, called on clinicians to offer risk-reducing medications to women who are at increased risk for breast cancer but at low risk for adverse effects.

Pearl Toh, 5 days ago
The use of SGLT-2* inhibitors was not associated with a higher risk of severe or nonsevere urinary tract infections (UTIs) in patients with type 2 diabetes (T2D) compared with DPP**-4 inhibitors or GLP-1*** receptor agonists, a population-based cohort study shows.
Yesterday
Cryptococcosis is more common in nonhuman immunodeficiency virus (HIV) nontransplant (NHNT) patients, and this population tends to have more localized pulmonary cryptococcosis and significantly higher 90-day mortality, reports a study.
5 days ago
Type 2 diabetes (T2D) is an independent risk factor for all-cause dementia, with the greatest risk observed in patients who are insulin-dependent and obese, a recent study has found.

Resistance training safe, feasible during recovery from median sternotomy

12 Sep 2019

Resistance training, either alone or with aerobic exercise, appears to be safe and feasible in patients recovering from cardiac surgery via median sternotomy, leading to improvements in physical function, reports a recent meta-analysis.

Accessing the databases of Pubmed, Embase, Medline, SportsDiscus and CINAHL, researchers retrieved 18 studies with a cumulative sample size of 3,462 patients. Only studies that explicitly included resistance training in the exercise intervention were eligible for inclusion. In cases with a comparator group, papers were only included if the controls received treatment as usual or no intervention.

Four studies evaluated cardiopulmonary capacity, measured either as peak oxygen uptake or treadmill time. Pooled analysis revealed a trend towards improved capacity relative to controls (standardized mean difference [SMD], 0.26, 95 percent CI, –0.08 to 0.60; p=0.14).

The same was true for functional capacity, evaluated using the 6-minute walk test (mean difference, 13.79, –4.07 to 31.59; p=0.13), though heterogeneity of evidence was high. There was likewise a nominal improvement in anthropometric measures, assessed as skinfolds and body weight (SMD, 0.11, –0.16 to 0.39; p=0.42).

On the other hand, resistance training showed no significant advantage or disadvantage when compared with aerobic training in terms of cardiopulmonary capacity (SMD, 0.24, –0.32 to 0.80; p=0.40) and anthropometric variables (SMD, –0.06, –0.36 to 0.24; p=0.70).

Researchers noted that the definition of resistance training differed across different studies. “Furthermore, there is no consistency in how resistance training is applied, progressed and evaluated following median sternotomy.”

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Elvira Manzano, 4 days ago

The US Preventive Services Task Force (USPSTF), in an update of its 2013 recommendations, called on clinicians to offer risk-reducing medications to women who are at increased risk for breast cancer but at low risk for adverse effects.

Pearl Toh, 5 days ago
The use of SGLT-2* inhibitors was not associated with a higher risk of severe or nonsevere urinary tract infections (UTIs) in patients with type 2 diabetes (T2D) compared with DPP**-4 inhibitors or GLP-1*** receptor agonists, a population-based cohort study shows.
Yesterday
Cryptococcosis is more common in nonhuman immunodeficiency virus (HIV) nontransplant (NHNT) patients, and this population tends to have more localized pulmonary cryptococcosis and significantly higher 90-day mortality, reports a study.
5 days ago
Type 2 diabetes (T2D) is an independent risk factor for all-cause dementia, with the greatest risk observed in patients who are insulin-dependent and obese, a recent study has found.